TY - JOUR AU - Kraiem, Soumaya AU - Souilem, Leila AU - Toumi, Dhekra AU - Bouchahda, Haifa PY - 2020/12/25 Y2 - 2024/03/29 TI - Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in Mahdia JF - Gynecology Obstetrics & Reproductive Medicine JA - Gynecol Obstet Reprod Med VL - 26 IS - 3 SE - Obstetrics; Maternal Fetal Medicine and Perinatology DO - 10.21613/GORM.2019.912 UR - https://www.gorm.com.tr/index.php/GORM/article/view/912 SP - 188-191 AB - <p><strong>OBJECTIVES:</strong> All this study is aimed to evaluate obstetrical and neonatal outcomes among women age 40 years and older.</p><p><strong>STUDY DESIGN:</strong> Among 9962 women who delivered in Mahdia’s hospital between January 2015 and December 2016, 421 women (4.22%) were 40 years old or older at the time of delivery. Our retrospective study included 421 pregnant women aged more than 40 years and 421 controls aged 18-39, stratified to parity. Data were analyzed using Pearson’s χ22 test.</p><p><strong>RESULTS:</strong> The mean age of the case group was 41.32 years and that for the control group was 31.25 years. Preeclampsia and diabetes were the most common pathologies (p=0.01), the mode of delivery was marked by a high rate of cesarean section. The rate of instrumental extractions was not influenced by age. The rate of neonatal admission and 10-minute Apgar Scores&lt;7 were significantly higher in the older group (p&lt;0.05). The rate of abruption placenta, placenta previa, postpartum hemorrhage, and stillbirth were increased in mothers over 40 years but there was no difference statically. </p><p><strong>CONCLUSION:</strong> Based on findings, maternal age over 40 years is associated with a high rate of obstetrical, medical complications and cesarean section deliveries. Better pregnancy monitoring helps to improve this risky situation.</p> ER -